Individual provider Active NPI

Sarah Bourne

  • Pediatrics Physician
  • San Francisco, CA
National Provider Identifier
1093342933
Registry record updated Dec 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4190 Issued in CA
Practice address
550 16TH St FL 4
San Francisco, CA 94143-2549
Phone
(415) 476-5001
NPI assigned
Mar 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics Physician 208000000X 4190 CA Primary

Addresses

Primary practice location

550 16TH St FL 4
San Francisco, CA 94143-2549

Mailing address

550 16TH St FL 4
San Francisco, CA 94143-2549
Phone (415) 476-5001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230627001345 CA Practitioner - Pediatric Medicine 2466861802 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
University of California SFGH Medical Group Current Accepting new patients
UCSF Medical Group Business Services CurrentSince Jun 30, 2023 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jun 30, 2023 Accepting new patients
University of California San Francisco CurrentSince Jun 30, 2023 Accepting new patients
Barton Healthcare System CurrentSince Aug 1, 2024 Accepting new patients
University of California SFGH Medical Group CurrentSince Jun 1, 2023 Accepting new patients
University of California San Francisco Pediatrics Current Accepting new patients
Barton Medical Foundation CurrentSince Aug 1, 2024 Accepting new patients
University of California San Francisco Pediatrics CurrentSince Jun 30, 2023 Accepting new patients
Barton Healthcare System CurrentSince Aug 1, 2024 Accepting new patients
University of California SFGH Medical Group CurrentSince Jun 1, 2023 Accepting new patients
UCSF Pediatrics Associates Pediatrics CurrentSince Jun 30, 2023 Accepting new patients
Barton Healthcare System Past Accepting new patients

Locations

3100 San Pablo Ave
Berkeley, CA 94702
Phone (510) 985-5020

550 16th St
Fl 4
San Francisco, CA 94143
Phone (415) 476-5001

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

1001 Potrero Ave
Rm 5H22
San Francisco, CA 94110
Phone (628) 206-4774

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

2001 The Embarcadero
Ste 1500
San Francisco, CA 94143
Phone (415) 353-1606

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

2074 Lake Tahoe Blvd
Ste 4
South Lake Tahoe, CA 96150
Phone (530) 543-5554

2170 South Ave
South Lake Tahoe, CA 96150
Phone (530) 541-3420

2201 South Ave
South Lake Tahoe, CA 96150
Phone (530) 543-5550

Interoperability endpoints

  • Direct secure messaging: sbourne207003@direct.renown.org

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608249600000",
    "number": "1093342933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 16TH ST FL 4",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432549",
            "telephone_number": "415-476-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 16TH ST FL 4",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432549",
            "telephone_number": "415-476-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURNE",
        "first_name": "SARAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-23",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "4190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.